Frequent headaches in adults — when it's more than just stress
Most headaches are tension-type or migraine and respond well to a clear plan. A small number need urgent assessment. The job at the first visit is to tell them apart.
·Headache with weakness, vision change, or confusion
·Headache worsened by coughing, bending, or waking from sleep
This is general guidance, not a diagnosis. If you have any of the above, book a same-day consult or seek urgent care.
Common causes a physician will look for
·Migraine — often one-sided, with nausea and light sensitivity
·Tension-type headache — band-like, related to stress and posture
·Medication-overuse headache — paradoxically from too many painkillers
·Sinus and refractive errors
·Uncontrolled blood pressure
What to expect at the consult
A careful headache history (the diagnosis is mostly clinical), blood pressure check, basic blood work, and a personalised plan — trigger identification, acute treatment, and preventive therapy where indicated. Imaging only if red flags are present.
Frequently asked
Do I need an MRI for my headaches?
Most headaches do not need an MRI. Imaging is indicated only when red-flag features are present. Routine scanning for typical migraine or tension headaches usually reassures briefly and rarely changes treatment.